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Prostatectomia radical : casuística de 2 anos do Serviço de Urologia do Hospital de Santa Maria
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Objetivos: Analisar retrospetivamente a casuística de 2 anos dos pacientes submetidos a prostatectomia radical, retropúbica e laparoscópica, no Serviço de Urologia do Hospital de Santa Maria. Propõe-se ainda um novo modelo de armazenamento de dados, para futuros estudos prospetivos.
Material e métodos: Este estudo retrospetivo incluiu 151 doentes, submetidos a prostatectomia radical, no período compreendido entre Novembro de 2012 e Outubro de 2014. Foram registadas as variáveis pré-operatórias, a taxa de complicações, a informações da análise anatomopatológica das biópsias transretais e da peça operatória e os resultados funcionais e oncológicos.
Resultados: A idade média dos doentes foi de 65,1 anos, com PSA pré-operatório médio de 8,68ng/ml e internamento mediano de 6 dias. O follow-up médio foi de 12,5meses. A taxa de complicações pós-operatórias precoces e tardias foi 10,3% e 5,8%. A taxa global de margens positivas foi de 46,6%. Verificou-se recidiva bioquímica em 13,8% dos doentes operados. A taxa de continência e potência aos 12 meses foi de 79,7% e 10%, respetivamente.
Conclusões: Embora a maioria dos resultados analisados esteja de acordo com os dados apresentados na literatura, ressalva-se a importância do armazenamento uniforme da informação clínica para elaboração de estudos prospetivos, de maior validade científica.
Objetives: To analyze retrospectively the experience of 2 years of the patients who underwent retropubic and laparoscopic radical prostatectomy at the Department of Urology of the Hospital de Santa Maria. It is also proposed a new database model, for future prospective studies. Material and methods: This retrospective study included 151 patients who underwent radical prostatectomy, between November 2012 and October 2014. The preoperative variables were recorded, as well as the rate of complications, the information of the pathology reports, from the transrectal biopsies and the operative specimen analysis, and the functional and oncological outcomes. Results: The mean age of the patients was 65.1 years, with a mean preoperative PSA of 8,68ng/ml and a median hospital stay of 6 days. The average follow-up was 12,5months. The rate of early and late postoperative complications was 10.3% and 5.8%. The overall rate of positive margins was 46.6%. There was biochemical recurrence in 13.8% of the patients. The rate of continence and potency at 12 months was 79.7% and 10%, respectively. Conclusions: Although most of the results are consistent with the data presented in the literature, the importance of uniform storage of clinical information must be emphasized for the development of prospective studies, with greater scientific validity.
Objetives: To analyze retrospectively the experience of 2 years of the patients who underwent retropubic and laparoscopic radical prostatectomy at the Department of Urology of the Hospital de Santa Maria. It is also proposed a new database model, for future prospective studies. Material and methods: This retrospective study included 151 patients who underwent radical prostatectomy, between November 2012 and October 2014. The preoperative variables were recorded, as well as the rate of complications, the information of the pathology reports, from the transrectal biopsies and the operative specimen analysis, and the functional and oncological outcomes. Results: The mean age of the patients was 65.1 years, with a mean preoperative PSA of 8,68ng/ml and a median hospital stay of 6 days. The average follow-up was 12,5months. The rate of early and late postoperative complications was 10.3% and 5.8%. The overall rate of positive margins was 46.6%. There was biochemical recurrence in 13.8% of the patients. The rate of continence and potency at 12 months was 79.7% and 10%, respectively. Conclusions: Although most of the results are consistent with the data presented in the literature, the importance of uniform storage of clinical information must be emphasized for the development of prospective studies, with greater scientific validity.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2015
Palavras-chave
Próstata Prostatectomia Urologia